Provider Demographics
NPI:1639578909
Name:BRECHT, ALYSSA KAITLYN
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:KAITLYN
Last Name:BRECHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23062 MIDDLEBELT RD
Mailing Address - Street 2:APT 103
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-3691
Mailing Address - Country:US
Mailing Address - Phone:248-330-9782
Mailing Address - Fax:
Practice Address - Street 1:23062 MIDDLEBELT RD
Practice Address - Street 2:APT 103
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336
Practice Address - Country:US
Practice Address - Phone:248-330-9782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-22
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor